This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. A step-by-step guide to using CBT, the book is structured around case examples of clients who present with the most commonly encountered conditions; from mild depression and GAD to more complex, enduring symptoms and diagnosis like OCD, personality disorder and social phobia.

The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies and discharge planning.

The book also includes learning exercises and clinical hints, as well as extensive reference to further CBT research, resources and reading. It will be invaluable for trainees on Improving Access to Psychological Therapies (IAPT) programs, and anyone studying graduate CBT courses.

Client Presenting with Anorexia Nervosa

Client presenting with anorexia nervosa

Learning Objectives

By the end of this chapter you should be able to:

  • Identify the symptoms of anorexia nervosa
  • Describe the cognitive perspective for anorexia nervosa
  • Discuss a cognitive formulation which addresses dysfunctional underlying assumptions
  • Outline a cognitive and behavioural treatment programme which takes account of the physical and psychological aspects of anorexia nervosa
  • Recognise the treatment length for severe and enduring anorexia nervosa

Diagnostic Criteria

Anorexia nervosa (AN) can best be described as a syndrome condition wherein a number of symptoms occur together causing particular and observable outcomes. The DSM-IV-TR (APA, 2000) 307.1, diagnostic criteria states that the person experiencing anorexia nervosa refuses to maintain body weight, their weight is less than 85 per cent of that expected for their age and height ...

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